| David C Tabor, DO | |
|
2093 Health Dr, Suite 201, Wyoming, MI 49519 | |
| (616) 452-7099 | |
| (616) 452-4142 |
| Full Name | David C Tabor |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 2093 Health Dr, Wyoming, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720097231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5101015663 (Michigan) | Primary |
| Entity Name | Gastroenterology Associates Of Western Michigan Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588731087 PECOS PAC ID: 2860413051 Enrollment ID: O20051215000443 |
| Mailing Address | Practice Location Address |
|---|---|
| David C Tabor, DO 2093 Health Dr, Suite 201, Wyoming, MI 49519 Ph: (616) 452-7099 | David C Tabor, DO 2093 Health Dr, Suite 201, Wyoming, MI 49519 Ph: (616) 452-7099 |
Mark J Tieszen, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200 | |
William Marc Katz, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2093 Health Dr Sw, Ste 200, Wyoming, MI 49519 Phone: 616-459-3158 Fax: 616-819-2222 | |
Dr. Srinivas Reddy Mummadi, MBBS Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2122 Health Dr Sw, Wyoming, MI 49519 Phone: 616-252-5220 Fax: 616-252-5770 | |
Kurt Koepnick, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 6105 Wilson Ave Sw, Suite 202, Wyoming, MI 49418 Phone: 616-267-7220 | |
Dr. Heidi Lynn Putt, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5838 Metro Way Sw, Wyoming, MI 49519 Phone: 616-249-5300 | |
Dr. John Allen Key, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-241-2333 Fax: 616-452-6767 | |
Danielle Light, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7200 |